GARY DEMETRICK KEELER DDS
NPI 1285815589
Dentist - Oral and Maxillofacial Surgery in Alcoa, TN

Active since November 15, 2007PECOS Enrolled
1053 HUNTERS CROSSING DR., ALCOA, TN 37701(865) 223-6705 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 28, 2026, Apr 23, 2026, Nov 8, 2018 (3 updates tracked since 2018).

About Gary Demetrick Keeler Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY DEMETRICK KEELER DDS (NPI 1285815589) is an individual oral and maxillofacial surgery provider in Alcoa, Tennessee, licensed in Mississippi (3478) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285815589
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameGARY DEMETRICK KEELERCredential: DDS
Location Address1053 HUNTERS CROSSING DR.Alcoa, TN 37701
Mailing Address1060 E County Line Rd Ste 3a-213Ridgeland, MS 39157-1900
Sole ProprietorNo
Enumeration DateNovember 15, 2007
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1285815589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in MS · 3478 Licensed in TN · 8114 Licensed in OH · 30.028230
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1053 HUNTERS CROSSING DR., Alcoa, TN 37701

Secondary Practice Locations 2

Location 13802 Paxton Ave, Ste 12Cincinnati, OH 45209 · Phone (513) 898-1194
Location 22020 Town Center BlvdKnoxville, TN 37922-6677 · Phone (865) 233-6517

Other Identifiers 1

Medicaid01880393MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gary Demetrick Keeler Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285815589, enumerated as an "individual" on November 15, 2007.

The provider is located at 1053 HUNTERS CROSSING DR. ALCOA, TN 37701 and the phone number is (865) 223-6705.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.